Provider Demographics
NPI:1750461430
Name:NAYUDU, APARNAVALLI C (DDS)
Entity Type:Individual
Prefix:DR
First Name:APARNAVALLI
Middle Name:C
Last Name:NAYUDU
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3005 SILVER CREEK RD
Mailing Address - Street 2:SUITE #198
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95121-1789
Mailing Address - Country:US
Mailing Address - Phone:408-531-8080
Mailing Address - Fax:408-531-8088
Practice Address - Street 1:3005 SILVER CREEK RD
Practice Address - Street 2:SUITE #198
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95121-1789
Practice Address - Country:US
Practice Address - Phone:408-531-8080
Practice Address - Fax:408-531-8088
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA483411223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice